6500 Three Notch Rd
Mobile, AL 36619
(251) 661-1883
  

Sunday
Sunday School @ 9:30am
Sunday Morning @ 10:30am
Sunday Evening @ 6:00pm

Wednesday
Prayer Meeting @ 7:00pm








VBS


 


Child's First Name:             


Child's Last Name: 


Child's Age:


Any Allergies?


Home Address:              


City:


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Zip Code:   



Guardian First Name:


Guardian Last Name:


Email:


Phone:


Emergency Contact Name:


Emergency Contact Phone:


My child may not participate in: 

How did you hear about VBS at Cloverleaf Baptist Church?

I have read  and agree to the following liability waiver:

I understand and agree to assume all the risks, which may be encountered during VBS activities, including activities preliminary and subsequent thereto.

 

I do agree to hold Cloverleaf Baptist Church and its agents, employees, and volunteers harmless from any and all liability, actions, causes of actions, claims, expenses, and damages on account of injury to my child or property, even injury resulting in death, which my child now has or which may arise in the future in connection with the activity or participation in any other associated activities.

 

I expressly agree that this release, waiver and indemnity agreement is intended to be broad and inclusive as permitted by the law of the State of Alabama and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. This release contains the entire agreement between the parties hereto, and the terms of this release are contractual and not a mere recital.

 

I further state that photography of my child may be used in current and future church promotion. I have carefully read the forgoing release and know the contents thereof and I sign this release as my own free act. This is a legally binding agreement, which I have read and understand.


Signature:     Date: